The Mastermind group is a tightknit circle of eight to 10 handpicked Council members who commit to advancing concrete business goals and helping their peers do the same. Each meeting is facilitated by Council membership management in collaboration with a Mastermind member in the "hot seat" to kick off the discussion at hand.

There’s no fee to join. Instead, members are selected based on their successful completion of Council participation requirements in the previous year of membership, commitment to participate in regular meetings, share and receive advice generously, and make meaningful progress in their career. 
More information about the Mastermind group can be found here: https://acdis.org/acdis-leadership-council/mastermind-group

Applications close at end of day Tuesday, August 31. 
Selected members will be notified in September 2021.

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* 1. Please enter your contact information.

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* 2. What credentials do you hold? (Check all that apply.)

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* 3. Please indicate your title/role.

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* 4. What's the name of your organization?

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* 5. Please indicate your organization type.

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* 6. What EHR does your organization currently use?

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* 7. What CDI technology does your CDI team currently use? Please specify the vendor/company and the type of software (e.g., CAPD, electronic queries, etc.).

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* 8. In a paragraph or less, please share why you're interested in joining the ACDIS Leadership Council's mastermind group.

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* 9. During meetings, mastermind members take turns in the “hot seat,” sharing a challenge or opportunity and describing the kind of input they'd like from their peers. Counseling members will then ask targeted questions, brainstorm strategies, and offer advice. Name two or three hot-seat topics you might bring to the table. (You can revise these at anytime.)

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* 10. How likely is it that you'll attend the following 2021/2022 ACDIS events?

  Not likely Somewhat likely Very likely
2021 ACDIS National Conference, October 25-28 in Dallas, Texas
2022 ACDIS National Conference, May in Kissimmee, Florida
2022 CDI Leadership Exchange (Note: This is an invite-only event, so we can't guarantee that all interested applicants will be able to attend.)

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* 11. To be considered for the Council mastermind group, you must attest to your ability to meet the minimum eligibility and participation requirements (outlined here). Will you be able to fulfill these requirements?

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* 12. What else would you like to share with Council leadership?

0 of 12 answered
 

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